Healthcare Provider Details

I. General information

NPI: 1992910970
Provider Name (Legal Business Name): BRIAN SCOTT ESCH D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1940 116TH AVE NE SUITE 101
BELLEVUE WA
98004-3097
US

IV. Provider business mailing address

1940 116TH AVE NE SUITE 101
BELLEVUE WA
98004-3097
US

V. Phone/Fax

Practice location:
  • Phone: 425-635-0495
  • Fax: 425-635-0492
Mailing address:
  • Phone: 425-635-0495
  • Fax: 425-635-0492

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH00002776
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: